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[Ocular surface viral diseases in children].

E Yu Markova1, E G Polunina2, N A Pron'ko3

  • 1Pirogov Russian National Research Medical University, 1 Ostrovityanova St., Moscow, Russian Federation, 117997; Moscow Children's Health Clinic #12, 1 Eletskaya St., Moscow, Russian Federation, 115583.

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Viral eye infections in children are rising, with keratoconjunctivitis affecting a small percentage. While most recover, 5% face complications impacting vision, necessitating awareness and prompt treatment.

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Area of Science:

  • Ophthalmology
  • Pediatrics
  • Virology

Background:

  • The incidence of inflammatory eye diseases in children has significantly increased over the last 15 years.
  • Viral infections, including those causing keratoconjunctivitis, are a notable concern in pediatric outpatient settings.
  • Data from Moscow health clinics indicate a persistent presence of viral infections and associated keratoconjunctivitis in children.

Purpose of the Study:

  • To investigate the clinical characteristics of viral diseases affecting the ocular surface in pediatric patients.
  • To evaluate the available treatment strategies for ocular surface viral infections in children.
  • To analyze the potential complications and long-term visual outcomes associated with these conditions.

Main Methods:

  • A cohort of 140 children, aged 2 to 13 years, diagnosed with ocular surface viral diseases was observed.
  • Clinical data regarding disease presentation, progression, and treatment responses were collected and analyzed.
  • Treatment efficacy and safety profiles were assessed, including the impact on visual acuity and the occurrence of complications.

Main Results:

  • In 95% of cases, corneal abnormalities associated with viral infections were reversible within 1.5 months, with no residual opacity observed.
  • A small percentage (5%) of children developed bacterial complications despite intensive treatment, leading to a reduction in visual acuity.
  • The addition of Ophtalmoferon to standard therapy demonstrated high therapeutic efficacy and a favorable safety profile in managing ocular surface viral diseases.

Conclusions:

  • Ophthalmologists, pediatricians, and general practitioners must be vigilant regarding the ocular manifestations of viral infections in children.
  • Prompt and accurate diagnosis and treatment are crucial to prevent potential vision decline, even with appropriate therapy.
  • Ophtalmoferon offers a safe and effective treatment option for pediatric ocular surface viral diseases, improving patient compliance due to its ready-to-use formulation.